NURS 328 Practice Quizzes 7-9b: Questions With
Accurate Solutions
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Terms in this set (68)
False.
True/False. As the
Normally the kidneys filter and excrete creatinine.
glomerular filtration rate
Therefore, if glomerular filtration decreases (as we see
goes down, plasma
in renal failure), then plasma creatinine levels will start to
creatinine levels also go
rise. Elevated plasma creatinine levels is one of the
down.
primary labs we use to assess renal function.
The formula for creatinine A. Sex (Male vs. Female), B. Age, C. Body Weight.
clearance adjusts plasma The formula for calculating a creatinine clearance
creatinine levels based on estimate is:
which of the THREE CrCl = [weight (kg) x (140-age)]/[72 x plasma creatinine
following variables? (mg/dl)]. Although you do not need to memorize the
A. Sex (Male vs. Female) formula you should be aware that creatinine clearance
B. Age is affected by age, weight and of course plasma
C. Body weight creatine levels. If the person you are calculating a
D. Urine creatinine creatinine clearance for is a woman, then you would
E. Height multiply the value obtained with this formula by. 0.85.
Urinary tract obstruction B. hydronephrosis.
due to a kidney stone in the If a kidney stone obstructs a ureter, the back up of urine
right ureter can result in: into the renal pelvis and kidney causes dilation of the
A. increased glomerular urinary tract structures, a condition called
filtrate rate (GFR). hydronephrosis. The Latin derivation of this term is
B. hydronephrosis 'water on the kidney'.
C. renal failure.
D. glomerulonephritis
, B. flank pain.
The principle manifestation
The ureters connect the kidneys, which are located in
of a kidney stone in a ureter
the posterior abdominal cavity around the 12th rib, to
is:
the bladder which is located in the pelvis. Kidney stones
A. oliguria.
tend to get obstructed where the renal pelvis narrows
B. flank pain.
and becomes the ureter. Therefore kidney stones tend
C. pelvic pain.
to cause 'flank' pain, which is pain in the mid-lateral back
D. fever.
region.
Risk factors for developing A. male sex.
a urinary tract infection Because females have a shorter urethra than males, girls
(UTI) all of the following and women are at high risk for developing UTIs because
EXCEPT: bacteria can migrate up into the bladder more rapidly.
A. male sex.
B. diabetes mellitus
C. urinary retention.
D. older age.
E. urinary catheters
Pyelonephritis is a bacterial A. kidney.
infection of the: By definition, pyelonephritis (pyelo- = pus and -nephritis
A. kidney. is referring to the kidneys) is an infection that has
B. urethra. reached the renal pelvis and kidneys. Pyelonephritis is
C. bladder. generally a complication of a bladder infection, where
D. renal arteries. bacteria have ascended the ureters.
Acute glomerulonephritis is C. streptococcal pharyngeal infections.
caused by: The majority of cases of acute glomerulonephritis are
A. damage to the caused by group A beta hemolytic streptococcus
glomerulus from antibiotics infections of the throat and in some cases, skin or
used to treat skin infection. wound infections. The immune system produces
B. accumulation of protein antibodies to fight the strep infection, but in 10% of
in the glomerulus. cases of untreated strep infection the antibodies get
C. streptococcal into the blood stream and bind to the endothelial cells
pharyngeal infections. in the glomerulus. The resulting inflammatory response
D. rena ischemia. caused injury to the glomerular membrane.
, Clinical manifestations of B. proteinuria and hematuria.
glomerulonephritis include: The glomerular membrane injury caused by the
A. increased plasma autoimmune response in glomerulonephritis leads to
creatinine and BUN levels. the loss of protein and red blood cells into the urine
B. proteinuria and filtrate. This results in proteinuria (protein in the urine)
hematuria. and hematuria (blood in the urine) respectively.
C. increased urine output
and dilute urine.
D. bacteria and WBCs in the
urine.
Nephrotic syndrome is C. the abnormal loss of protein in the urine.
defined as: By definition, nephrotic syndrome is the loss of large
A. loss of function of one amount of plasma proteins (mainly albumin) in the urine.
kidney. Normally the urine should contain no urine because
B. the abnormal loss of plasma proteins cannot filter across the glomerular
lipids in the urine. membrane.
C. the abnormal loss of Nephrotic syndrome is caused injury to the glomerular
protein in the urine. membrane.
D. any renal disease caused
by autoimmunity.
Clinical findings in edema.
individuals with nephrotic Loss of albumin in the urine in nephrotic leads to a
syndrome include: decrease in what's called the plasma oncotic pressure.
A. anemia. A decrease in the plasma oncotic pressure leads to the
B. elevated plasma loss of fluid into the tissues since the plasm proteins
creatinine attract water into the capillaries. This loss of fluid leads
C. edema to edema.
D. flank pain
Which of the following Increased plasma creatinine
clinical laboratory values Creatinine is produced at a constant rate by muscle
reflects a diagnosis of renal metabolism. When creatinine is filtered by the kidneys,
failure? 100% of what was filtered is excreted in the urine. This
A. Increased plasma makes plasma creatinine levels a good measure of renal
creatinine function. If glomerular filtration goes down in renal
B. Decreased BUN failure, plasma creatine level goes up since the kidneys
C. Decreased plasma can't get rid of it.
potassium
D. Increased creatinine
clearance
Accurate Solutions
Save
Terms in this set (68)
False.
True/False. As the
Normally the kidneys filter and excrete creatinine.
glomerular filtration rate
Therefore, if glomerular filtration decreases (as we see
goes down, plasma
in renal failure), then plasma creatinine levels will start to
creatinine levels also go
rise. Elevated plasma creatinine levels is one of the
down.
primary labs we use to assess renal function.
The formula for creatinine A. Sex (Male vs. Female), B. Age, C. Body Weight.
clearance adjusts plasma The formula for calculating a creatinine clearance
creatinine levels based on estimate is:
which of the THREE CrCl = [weight (kg) x (140-age)]/[72 x plasma creatinine
following variables? (mg/dl)]. Although you do not need to memorize the
A. Sex (Male vs. Female) formula you should be aware that creatinine clearance
B. Age is affected by age, weight and of course plasma
C. Body weight creatine levels. If the person you are calculating a
D. Urine creatinine creatinine clearance for is a woman, then you would
E. Height multiply the value obtained with this formula by. 0.85.
Urinary tract obstruction B. hydronephrosis.
due to a kidney stone in the If a kidney stone obstructs a ureter, the back up of urine
right ureter can result in: into the renal pelvis and kidney causes dilation of the
A. increased glomerular urinary tract structures, a condition called
filtrate rate (GFR). hydronephrosis. The Latin derivation of this term is
B. hydronephrosis 'water on the kidney'.
C. renal failure.
D. glomerulonephritis
, B. flank pain.
The principle manifestation
The ureters connect the kidneys, which are located in
of a kidney stone in a ureter
the posterior abdominal cavity around the 12th rib, to
is:
the bladder which is located in the pelvis. Kidney stones
A. oliguria.
tend to get obstructed where the renal pelvis narrows
B. flank pain.
and becomes the ureter. Therefore kidney stones tend
C. pelvic pain.
to cause 'flank' pain, which is pain in the mid-lateral back
D. fever.
region.
Risk factors for developing A. male sex.
a urinary tract infection Because females have a shorter urethra than males, girls
(UTI) all of the following and women are at high risk for developing UTIs because
EXCEPT: bacteria can migrate up into the bladder more rapidly.
A. male sex.
B. diabetes mellitus
C. urinary retention.
D. older age.
E. urinary catheters
Pyelonephritis is a bacterial A. kidney.
infection of the: By definition, pyelonephritis (pyelo- = pus and -nephritis
A. kidney. is referring to the kidneys) is an infection that has
B. urethra. reached the renal pelvis and kidneys. Pyelonephritis is
C. bladder. generally a complication of a bladder infection, where
D. renal arteries. bacteria have ascended the ureters.
Acute glomerulonephritis is C. streptococcal pharyngeal infections.
caused by: The majority of cases of acute glomerulonephritis are
A. damage to the caused by group A beta hemolytic streptococcus
glomerulus from antibiotics infections of the throat and in some cases, skin or
used to treat skin infection. wound infections. The immune system produces
B. accumulation of protein antibodies to fight the strep infection, but in 10% of
in the glomerulus. cases of untreated strep infection the antibodies get
C. streptococcal into the blood stream and bind to the endothelial cells
pharyngeal infections. in the glomerulus. The resulting inflammatory response
D. rena ischemia. caused injury to the glomerular membrane.
, Clinical manifestations of B. proteinuria and hematuria.
glomerulonephritis include: The glomerular membrane injury caused by the
A. increased plasma autoimmune response in glomerulonephritis leads to
creatinine and BUN levels. the loss of protein and red blood cells into the urine
B. proteinuria and filtrate. This results in proteinuria (protein in the urine)
hematuria. and hematuria (blood in the urine) respectively.
C. increased urine output
and dilute urine.
D. bacteria and WBCs in the
urine.
Nephrotic syndrome is C. the abnormal loss of protein in the urine.
defined as: By definition, nephrotic syndrome is the loss of large
A. loss of function of one amount of plasma proteins (mainly albumin) in the urine.
kidney. Normally the urine should contain no urine because
B. the abnormal loss of plasma proteins cannot filter across the glomerular
lipids in the urine. membrane.
C. the abnormal loss of Nephrotic syndrome is caused injury to the glomerular
protein in the urine. membrane.
D. any renal disease caused
by autoimmunity.
Clinical findings in edema.
individuals with nephrotic Loss of albumin in the urine in nephrotic leads to a
syndrome include: decrease in what's called the plasma oncotic pressure.
A. anemia. A decrease in the plasma oncotic pressure leads to the
B. elevated plasma loss of fluid into the tissues since the plasm proteins
creatinine attract water into the capillaries. This loss of fluid leads
C. edema to edema.
D. flank pain
Which of the following Increased plasma creatinine
clinical laboratory values Creatinine is produced at a constant rate by muscle
reflects a diagnosis of renal metabolism. When creatinine is filtered by the kidneys,
failure? 100% of what was filtered is excreted in the urine. This
A. Increased plasma makes plasma creatinine levels a good measure of renal
creatinine function. If glomerular filtration goes down in renal
B. Decreased BUN failure, plasma creatine level goes up since the kidneys
C. Decreased plasma can't get rid of it.
potassium
D. Increased creatinine
clearance
